全膝关节置换术后深部感染的早期诊治  

Early diagnosis and treatment of surgical infection after total knee arthroplasty

作　　者：杨书丰[1] 赵建宁[1] 周利武[1] 任可[1] 

机构地区：[1]第二军医大学南京临床学院南京军区南京总医院骨科,南京210002

出　　处：《中国骨肿瘤骨病》2008年第1期33-35,共3页Chinse Journal Of Bone Tumor And Bone Disease

基　　金：江苏省自然科学基金资助项目(BK2005085)

摘　　要：目的探讨全膝关节置换术后早期感染的诊断、治疗原则以及保留假体清创的可行性。方法对6例8膝全膝关节置换术后早期感染的治疗方法及效果进行回顾。结果5例6膝感染在保留假体清创后得到控制,功能恢复良好,成功率为75%。结论全膝关节置换术后早期急性感染的病例,对于那些假体稳定、全身状况较好的患者均应该尝试保留假体清创治疗。Objective The purpose of the current study was to explore the methods of early diagnosis and treatment for surgical infection after total knee arthroplasty （TKA） and to evaluate the feasibility of prosthesis-salvage debridement. Methods We retrospectively reviewed the outcome of the surgical reatment for early infection of 6 patients＇ 8 knee prostheses. Results A success rate of infection control by early debridement reached 75% and the joint function was recovered. Conclusion Prosthesis-salvage debridement may be helpful in the management of surgical infection after TKA especially for those who have a stable knee prosthesis and a good general condition.

关 键 词：膝关节置换 感染 保留假体 清创 

分 类 号：R687[医药卫生—骨科学]